Organization
PJS PROFESSIONAL NURSE PRACTITIONER IN ADULT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS J EHRMAN SR. ANP-C (OWNER)
(631) 790-1239
Entity
Organization
Contact information
Practice address
22 MISSISSIPPI AVE, PORT JEFFERSON STATION, NY 11776-3012
(631) 790-1239
Mailing address
22 MISSISSIPPI AVE, PORT JEFFERSON STATION, NY 11776-3012
(631) 790-1239
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
304949
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03075505
—
NY
Enumeration date
12/02/2013
Last updated
12/02/2013
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